Grand Pharmacy., Inc is an authorized DME supplier for medicare equipments and products.
Grand Pharmacy., Inc is a Community/Retail Pharmacy in Los Angeles, California. It is located at 505 S Virgil Ave # 107, Los Angeles and it's customer support contact number is 213-380-5100. The authorized person of Grand Pharmacy., Inc is Joon Tae Choi who is Ceo of the pharmacy and his contact number is 213-380-5100. Active license number of Grand Pharmacy., Inc is 54623 for Community/Retail Pharmacy in California. Grand Pharmacy., Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Grand Pharmacy., Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Grand Pharmacy., Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Grand Pharmacy., Inc
Type:
Community/Retail Pharmacy
Location:
505 S Virgil Ave # 107, Los Angeles, California, 90020-1406
Phone:
213-380-5100
Fax:
213-380-5101
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Joon Tae Choi
Position:
Ceo
Contact Number:
213-380-5100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1356752877
NPI Enumeration Date:
19 May, 2014
NPI Last Update On:
09 Sep, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Pharmacy., Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
54623
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2145807
Other
Pk
Medicare Enrollment:
Grand Pharmacy., Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1658681754
O20151102001266
Grand Pharmacy Inc
PART B SUPPLIER - OTHER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
505 S Virgil Ave # 107, Los Angeles, California
Zip:
90020-1406
Phone Number:
213-380-5100
Fax Number:
213-380-5101
Patients can reach Grand Pharmacy., Inc at 505 S Virgil Ave # 107, Los Angeles, California or can call on customer care at 213-380-5100.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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